http://www.dh.gov.uk/PublicationsAndStatistics/fs/en
http://www.hpa.org.uk/infections/topics_az/tb/links/guidelines.htm
In summary, for good control of tuberculosis there should be:
There should be appropriate accommodation for isolation of patients with potential tuberculosis and those with known tuberculosis. A risk assessment should always be made. There should be adequate isolation rooms and negative pressure facilities should be properly monitored. Aerosol generating procedures should not take place except in negative pressure rooms in patients with suspected or confirmed with tuberculosis. All patients with suspected or confirmed pulmonary tuberculosis should be considered potentially infectious until proven otherwise. There should be no intermingling of HIV infected or other immunosuppressed patients with patients who have potentially or infectious tuberculosis. 116
All hospitals should have a TB control plan based on risk assessment. There should be adequate protection of health care workers and other contacts.
TB is a notifiable disease in the UK as it is in many other countries.
Concerns over deductive disclosure of HIV status if the HIV treating physician notifies a patient can be overcome as any physician involved in the patients care can notify the patient.
Contact tracing should follow the BTS guidelines but requires considerable sensitivity.